20^th Euro Congress on Psychiatrists and Psychologists August 07-08 , 2017 Rome, Italy

Iris Manor-Binyamini‏ is the Head of the Department of Behavioral and Emotional Disorders, at the Faculty of Education at the University of Haifa. One of her areas of expertise is the coping of parents and children with disabilities, specifically children with mental illnesses in special education schools. In her research, she searches for common resources of coping mechanisms for adolescent children with disabilities to apply the best available evidence gained from the scientific method for treatment and educational decision making in special education schools (Manor-Binyamini, 2014).

Statement of the Problem: In the last decade, more and more studies give voice to the personal perspective of people who are coping with schizophrenia, but only few focus on adolescents. Even fewer studies, examine the delicate phase for these adolescents of the transition from hospitalization back to the community, using the qualitative method. Researchers have reported that: Adopting a narrative perspective in this way broadens our horizons concerning the range of factors that might influence a person’s understanding of, and response to, the onset of a mental disorder. Building on the work of Estroff, Lysaker, and others, I employed narrative constructs in the analysis of interview data in which adolescent recovering from a psychotic episode described the experiences of self in relation to their illness.\r\n\r\nAim: The purpose of this study was to describe the experience of 20 adolescents with schizophrenia (ages 13-18).\r\n\r\nMethodology & Theoretical Orientation: A semi-structured interview was used in the study, based on the IPII- Indiana Psychiatric Illness Interview. The interviews focused on the experiences of the participants at the transitional phase from hospitalization back to a special education school, and to examine if it is possible to reconcile the own subjective experiences of the participants, and to learn from them and improve the process of returning to school after hospitalization. The interviews were analyzed using the narrative approach, through categorical content analysis and analysis of form. \r\n\r\nResults: The results of the study revealed six major themes, which are: life and death, support and family involvement and its absence, satisfaction and dissatisfaction with the work of professionals, medical balance and imbalance, and sense of coherence and the lack of a sense of coherence.\r\n

Autism Spectrum Disorder (ASD) includes a group of developmental disabilities characterized by patterns of delay and deviance in the development of social, communicative, cognitive skills and the presence of repetitive and stereotyped behaviors as well as restricted interests [ ]. The Treatment and education of autistic and related communication handicapped children (TEACCH) [ ] showed good results in motor skills, cognitive performances, social functioning and communication when compared to standard interventions [ ]. To the best of our knowledge, no longitudinal observation study has been published regarding the efficacy of the TEACCH after a long period of treatment.

Menicagli Roberto has completed his PhD from Milan University, and Postdoctoral Studies in Biochemistry and Molecular Genetics, at the Faculty of Biology at Milan University. He is the Director of Roma Biomed Research Lab, a private medical service organization. He has published more than 20 papers in reputed journals. He is also the Principal Author of 4 international patents in the field of the Environment and Biomarkers and has been serving as an Editorial Board Member of two magazines concerning the medical sciences.

Several studies demonstrated that many foods may provide a large number of bioactivepeptides into the gastrointestinal tract, for example, the beta-casomorphin-7, an opioid-like peptide produced by casein. Recent studies have established that the production of these opioid peptides is experimentally associated with autism. Autism is a developmental disorder with a possible connection between dietary components and triggering or worsening of symptoms. An altered intestinal permeability might allow absorption of incompletely digested peptides (gluten and casein) that could produce opioid-like activity on the brain, causing significant changes in behavior. It is also showed that phenomenon of the formation of opioid peptides strongly stimulates intestinal mucin production in ex vivo and in vitro models particularly, these effects were associated with a higher expression of intestinal mucins (gel forming), MUC2, the principal constituent of gut protective layer. The over expression of MUC 2 on contrary to what one might think, does not strengthen the intestinal protective layer, but rather tends to altering the continuous layer, in a succession of bubbles, separated by channels, which allow for greater permeability, facilitating the cycle of the opioid peptides and the free radicals. The effect is twofold: inhibition of nerve receptors, and formation of cerebral micronuclei. The purpose of this study is to propose research to evaluate, the biochemical process for inhibition of the MUC2 over expression in autism.

Roza Krsteska is MD, PhD and psychiatrist, with 28 years’ experience in diagnosis, treatment and research in the field of Geriatric Psychiatry. She is assistant professor and teaching psychiatry in education institutions.

Introduction: Late life depression is one of the most frequent disorders in elderly and often remains unrecognized. One of the reasons why late life depression often passes unrecognized is comorbidity – a number of different chronic diseases coexist with depression. rnObjective: To estimate the impact of medical conditions on late life depression. rnSubjects and Methods: This was a cross-sectional study that used interviewer-administered surveys and medical record reviews. The research was conducted on a sample of 120 participants, 60 patients with late life depression and 60 community-dwelling older adults without depressive symptoms, aged 60+. All participants were examined using a general questionnaire created for the purpose of the study, the existing medical records, the Geriatric Depression Scale and Charlson Comorbidity Index (CCI- a weighted index of 19 diseases that were found to be associated with mortality and other important health outcomes). The research excluded patients with other psychiatric disorders or dementia.rnResults: The patients with late life depression were suffering from larger number of chronic diseases than non-depressed elderly people, especially heart disease (x2=5.63, df=1, p=0.018, OR=2.59), cancers (x2=4.8, df=1, p=0.028, OR=7.79), hearing impairments (x2=6.97, df=1, p=0.0083, OR=3.00), vision impairments (x2=4.37, df=2, p=0.012), and chronic pain (x2=19.38, df=1, p=<0.001, OR=6.93). rnConclusion: These data suggest that late life depression risk is elevated among elderly patients with comorbid chronic diseases and point to a necessity of routine screening and early treatment of depression in patients with chronic diseases in primary care practice.rn